TY - JOUR
T1 - Effects of robot-assisted gait training on postural instability in parkinson's disease
T2 - A systematic review
AU - Picelli, Alessandro
AU - Capecci, Marianna
AU - Filippetti, Mirko
AU - Varalta, Valentina
AU - Fonte, Cristina
AU - Censo, Rita Di
AU - Zadra, Alessandro
AU - Chignola, Irene
AU - Scarpa, Stefano
AU - Amico, Angelo P.
AU - Antenucci, Roberto
AU - Baricich, Alessio
AU - Benanti, Paolo
AU - Bissolotti, Luciano
AU - Boldrini, Paolo
AU - Bonaiuti, Donatella
AU - Castelli, Enrico
AU - Cavalli, Loredana
AU - Stefano, Giuseppina Di
AU - Draicchio, Francesco
AU - Ella, Vincenzo Falab
AU - Galeri, Silvia
AU - Gimigliano, Francesca
AU - Grigioni, Mauro
AU - Jonsdodttir, Johanna
AU - Lentino, Carmelo
AU - Massai, Perla
AU - Mazzoleni, Stefano
AU - Mazzon, Stefano
AU - Eni, Franco Molt
AU - Morelli, Sandra
AU - Morone, Giovanni
AU - Zeri, Daniele Pan
AU - Petrarca, Maurizio
AU - Posteraro, Federico
AU - Senatore, Michele
AU - Glione, Elisa Ta
AU - Turchetti, Giuseppe
AU - Bowman, Thomas
AU - Nardone, Antonio
N1 - Publisher Copyright:
© 2021 EDIZIONI MINERVA MEDICA.
PY - 2021/6
Y1 - 2021/6
N2 - INTRODUCTION: Postural instability is a cardinal feature of Parkinson's disease, together with rest tremor, rigidity and bradykinesia. It is a highly disabling symptom that becomes increasingly common with disease progression and represents a major source of reduced quality of life in patients with Parkinson's disease. Rehabilitation aims to enable patients with Parkinson's disease to maintain their maximum level of mobility, activity and independence. To date, a wide range of rehabilitation approaches has been employed to treat postural instability in Parkinson's disease, including robotic training. Our main aim was to conduct a systematic review of current literature about the effects of robot-assisted gait training on postural instability in patients with Parkinson's disease. EVIDENCE ACQUISITION: A systematic search using the following MeSH terms "Parkinson disease,""postural balance,""robotics,""rehabilitation"AND string "robotics [mh]"OR "robot-assisted"OR "electromechanical"AND "rehabilitation [mh]"OR "training"AND "postural balance [mh]"was conducted on PubMed, Cochrane Library and Pedro electronic databases. Full text articles in English published up to December 2020 were included. Data about patient characteristics, robotic devices, treatment procedures and outcome measures were considered. Every included article got checked for quality. Level of evidence was defined for all studies. EVIDENCE SYNTHESIS: Three authors independently extracted and verified data. In total, 18 articles (2 systematic reviews, 9 randomized controlled trials, 4 uncontrolled studies and 3 case series/case reports) were included. Both end-effector and exoskeleton devices were investigated as to robot-assisted gait training modalities. No clear relationship between treatment parameters and clinical conditions was observed. We found a high level of evidence about the effects of robot-assisted gait training on balance and freezing of gait in patients with Parkinson's disease.
AB - INTRODUCTION: Postural instability is a cardinal feature of Parkinson's disease, together with rest tremor, rigidity and bradykinesia. It is a highly disabling symptom that becomes increasingly common with disease progression and represents a major source of reduced quality of life in patients with Parkinson's disease. Rehabilitation aims to enable patients with Parkinson's disease to maintain their maximum level of mobility, activity and independence. To date, a wide range of rehabilitation approaches has been employed to treat postural instability in Parkinson's disease, including robotic training. Our main aim was to conduct a systematic review of current literature about the effects of robot-assisted gait training on postural instability in patients with Parkinson's disease. EVIDENCE ACQUISITION: A systematic search using the following MeSH terms "Parkinson disease,""postural balance,""robotics,""rehabilitation"AND string "robotics [mh]"OR "robot-assisted"OR "electromechanical"AND "rehabilitation [mh]"OR "training"AND "postural balance [mh]"was conducted on PubMed, Cochrane Library and Pedro electronic databases. Full text articles in English published up to December 2020 were included. Data about patient characteristics, robotic devices, treatment procedures and outcome measures were considered. Every included article got checked for quality. Level of evidence was defined for all studies. EVIDENCE SYNTHESIS: Three authors independently extracted and verified data. In total, 18 articles (2 systematic reviews, 9 randomized controlled trials, 4 uncontrolled studies and 3 case series/case reports) were included. Both end-effector and exoskeleton devices were investigated as to robot-assisted gait training modalities. No clear relationship between treatment parameters and clinical conditions was observed. We found a high level of evidence about the effects of robot-assisted gait training on balance and freezing of gait in patients with Parkinson's disease.
UR - https://www.scopus.com/pages/publications/85112127170
U2 - 10.23736/S1973-9087.21.06939-2
DO - 10.23736/S1973-9087.21.06939-2
M3 - Review article
SN - 1973-9087
VL - 57
SP - 472
EP - 477
JO - European Journal of Physical and Rehabilitation Medicine
JF - European Journal of Physical and Rehabilitation Medicine
IS - 3
ER -